Healthcare Provider Details

I. General information

NPI: 1497738637
Provider Name (Legal Business Name): ROBERT E SCHMUS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/22/2005
Last Update Date: 08/05/2021
Certification Date: 08/05/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 CLAY ST
DARLINGTON WI
53530-1228
US

IV. Provider business mailing address

800 CLAY ST
DARLINGTON WI
53530-1228
US

V. Phone/Fax

Practice location:
  • Phone: 608-776-4466
  • Fax: 608-776-5777
Mailing address:
  • Phone: 608-776-4466
  • Fax: 608-776-5777

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number21838020
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: